HI SB2045

Renames the State Boxing Commission of Hawaii to the Boxing and Combat Sports Commission of Hawaii, expanding its jurisdiction to regulate combat sports including mixed martial arts alongside boxing.

Defines combat sports as unarmed combat using techniques from multiple martial arts disciplines including grappling, kicking, and striking, while explicitly prohibiting "no rules combat" contests that pose unreasonable risk of injury or death.

Establishes licensing requirements for promoters, including a $500 review and enforcement fee, proof of financial integrity, medical insurance for contestants, and surety bonds to cover obligations.

Requires contestants to be at least 18 years old, pass pre-fight medical examinations by licensed physicians, and submit medical reports including HIV and hepatitis testing completed within six months of competition.

Limits combat sports contests to a maximum of five rounds of five minutes each, with mandatory one-minute rest periods between rounds, and authorizes the commission to adopt safety rules and medical suspension procedures for injured contestants.